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(New Destinations) <br />Orange County Cardinal Managed CareFund Performance AgreementPage7of 9 <br />Rev. 8/18 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: New DestinationsParty/Vendor Contact Person: Larry LackeyContact Phone:919-414-2860 <br />Party/Vendor Address: 5720 Turner Store LaneCity RaleighState: NCZip: 27603Department: Finance and <br />Administrative ServicesAmount: 35100Purpose: Cardinal Innovations Managed Care Performance Agreement for <br />FY2018-19Budget Code(s): 10420020-710050Vendor # 800744(N/A if new vendor) Vendor is a BOCC <br />consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date <br />7/1/2018Approved by Board Yes No Agenda Date: 6/19/2018 <br />This agreement is approved as to technical form and content: <br />Department Director’s Signature ________________________________________ Date: ________ <br />Information Technologies <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br />Office of the Chief Information Officer___________________________________ Date: ________ <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: 45F8D9E2-21AC-4868-9A00-7CEFD1517F11 <br /> <br /> <br /> <br />